1989, 10-23 Permit App: 89004252 Sewer SPOKANE COUNTY DEPAR.TM WrT Of BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct.In
addition,I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agree to comply with same.All provisions of laws
and ordinances governing this type of work will be complied with whether specified herein or not.I understand that the issuance of this permit and any subsequent
inspection approvals or Certificates of Occupancy shall not be construed to give authority to violate or cancel the provisions of any state or local law regulating
construction,or as a warranty of conformance with the provisions of any state or local laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT f1ATE
PRuJEci 10/23/89 PAGE= 01
APPLICATION
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AREA= 00000000 ESA= i.. WIDTH= 0 DEPTH= i7'.`:'r €':•,;'{;,;:::
OWNER= BIALLAS, JIM PHONE— 509 924 1439
ADDRESS= SPOKANE WA 99216
CONTACT NAME= l :fiCOURCHAINE PHONE NUMBER= 509 i4 5495
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'..:€"}A...N... CONSTRUCTION PHONE= 509 924 5495
STREET= 16402 E ;: a .:
ADDRESS= VERADALE WA 99037
.€. t ::.€.€ DESCRIPTION i:;t i . tTis_1..,c` F-EE €€I i::i.,.
PROCESSING FEE 10 ,00
SEWER CONNECTION 40,00
PERMITTY€ 1::: ILL AMOUNT{• iiP'ii::€%. N PAID AMOUNT i::€i:a3:i'J€::,
PRINTED BY : jULIE SHATTO
SEWER STUB AS—BUILT INFORMATION .I. ;' AVAILABLE AT l'H1:. COUNTY
UTILITIES D v.PAR # f'I€::.},' } (456-3604)
CONTRACTOR ORi ! , ? ! % ! € , [ ? f" .L1 ? € : i . : n ? CONFIRM Ti _
ELEVATION A t'y,.} POSITION OF SEWER STUB PRIOR i�(:; ANY `€ -i r::.
EXCAVATION
TO i i...i_JCi i i €::. BURIED CABLES, €.A t• PIPING, WATER }. I. ti i:•.t , L..i.. ! ,
CALL
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SEWER STUBS ARE TO BE t.:t!t...C#S:.€::.(:l !"'r':.€. .tR TO CONNECTION {'i':? INSURE
THAT THEY t•i1?1::. f:i...#::.i•r€•', AND UNOBSTRUCTED •T'is? •rHi. SEWER t;_ " itIN
?t Pi;!i'Pi•3+i'hi i+k•J+i CALL €€•tiINSPECTION PRIOR I COVER i 3`h rk 11•u.•!}i�+{.•'+i•7+i +i 3+i•F+i
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JOB ADDRESS: l 5 ( rte.:
SUBDIVISION: cE54C �- ( LOT BLOCK:
OWNER: 6 'it (c4. PHONE: 9-1041 - / 11(3 )
ADDRESS:
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CONTRACTOR: b6--/„.,t_-�'� l- G�="L'����� PHONE: 1 - 5��5
ADDRESS:
LICENSE #: I V
INSPECTION DATE:
TYPE OF OCCUPANCY: